DSELF Pre-Qualification Application Form
Please note that if there are multiple partners, each partner must submit this initial application form separately. Also, please note that this is the initial application, which is one component of the prerequisite phase of the DSELF approval process. Once this application is submitted, the DSELF administrator will contact you to set up an interview. A $50 application fee must also be collected to move forward in the application process. The entire approval process is outlined here in this booklet: https://www.downtownstockton.org/wp-content/uploads/2022/04/Jan_4.26.2022-DSELF.pdf
Today's Date
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Month
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Day
Year
Date
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Area Code
Phone Number
Amount Requested:
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If the loan is approved, what would the business loan be used for?
Social Security #:
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Date of Birth:
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Month
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Day
Year
Date
Current Personal Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previous Personal Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Name:
Business Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Business Opened/Will Open:
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Month
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Day
Year
Date
Employer(if self-employed, write self-employed):
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Previous Employer:
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List ALL of your banks, the number of accounts you hold there, and what type of accounts they are Example: A) Bank of Stockton, 2, Checking and Certificate of Deposit B) U.N.C.L.E. Credit Union, 1, Savings Account
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List ALL of your credit obligations, loans, credit cards, and/or personal debts; the balance left on the debt, and your monthly payment. Example: A) Bank of Stockton, Business Loan, Balance:$20,000, Monthly Payment:$2,000 B) Capital One, Credit Card, Balance:$10,000, Monthly Payment:$200 C) ClearLane, Auto Loan, Balance:$5,000, Monthly Payment:$150 D) Great Lakes, Student Loan, Balance:$20,000, Monthly Payment:$300
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How did you hear about the DSELF?
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A Bank or other Lender
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News article
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Facebook
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DSA Website
DSA Employee
Other
In connection with a loan application that I/we have made to the Downtown Stockton Enterprise Loan Fund(DSELF), I/we authorize releasing any information requested by the DSELF. This information may include, but may not be limited to, credit reports, loan/obligation payment histories, employment and income verification, and account deposit histories and balances. A copy of this authorization may be deemed to be the equivalent of the original and may be used in lieu of the original
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